Individual
STEPHANIE MISAKI WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
4477 EMMALANI DR, PRINCEVILLE, HI 96722-5417
(715) 343-5256
Mailing address
4477 EMMALANI DR, PRINCEVILLE, HI 96722-5417
(808) 639-5626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
96
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40919400
—
WI
Enumeration date
03/17/2007
Last updated
12/05/2017
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